Moore, Mira Luna Fuentes

Moore, Mira Luna Fuentes is an sole proprietor health care provider with primary practice located at 1874 4Th St , Wyandotte MI 48192-3905. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Moore, Mira Luna Fuentes can be contacted via phone (734) 828-9599.

Contact Information

Primary practice address
1874 4Th St Wyandotte MI 48192-3905
Phone: (734) 828-9599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X

Profile Details

NPI number 1265183115
LBN Legal business name Moore, Mira Luna Fuentes
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2022
Last updated Jan 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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